NPI | 1922170372 |
---|---|
Other Name | MAUREEN A BISSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 3599-125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN LPC00916) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2013-08-28 |